| Foreword | p. xiii |
| Preface and Acknowledgments | p. xvii |
| Identity | |
| Identity and Its Origins | p. 3 |
| The Concept of Identity | |
| Erikson | |
| Lichtenstein | |
| The Developmental Origins of Personal Identity | |
| Freud | |
| Fenichel | |
| Greenacre | |
| Mahler | |
| Jacobson | |
| Winnicott | |
| Kernberg | |
| Chasseguet-Smirgel | |
| Blos | |
| Conclusion | |
| The Syndrome of Identity Diffusion | p. 25 |
| Clinical Features | |
| Contradictory Character Traits | |
| Temporal Discontinuity in the Self | |
| Lack of Authenticity | |
| Subtle Body Image Disturbances | |
| Feelings of Emptiness | |
| Gender Dysphoria | |
| Inordinate Ethnic and Moral Relativism | |
| Differential Diagnosis | |
| Psychotic Disturbances of Identity | |
| Multiple Personality | |
| Adolescent Identity Crisis | |
| Conclusion | |
| The Personality Disorders | |
| Narcissistic Personality Disorder | p. 45 |
| Freud and the Early Analysts | |
| Kernberg | |
| Kohut | |
| Other Contemporary American Analysts | |
| Recent European Contributions | |
| DSM-III and DSM-III-R | |
| An Attempt at Synthesis | |
| Distinction from Better Integrated Personality Disorders | |
| Distinction from Other Severe Personality Disorders | |
| Comment | |
| Borderline Personality Disorder | p. 79 |
| Descriptive Studies | |
| Psychoanalytic Views | |
| DSM-III and DSM-III-R | |
| An Attempt at Synthesis | |
| Differential Diagnosis | |
| Comment | |
| Schizoid Personality Disorder | p. 121 |
| Descriptive Studies | |
| Psychoanalytic Views | |
| DSM-III and DSM-III-R | |
| An Attempt at Synthesis | |
| Differential Diagnosis | |
| Comment | |
| Paranoid Personality Disorder | p. 149 |
| Descriptive Studies | |
| Psychoanalytic Views | |
| DSM-III and DSM-III-R | |
| An Attempt at Synthesis | |
| Differential Diagnosis | |
| Comment | |
| Hypomanic Personality Disorder | p. 177 |
| Descriptive Studies | |
| Psychoanalytic Views | |
| An Attempt at Synthesis | |
| Differential Diagnosis | |
| Comment | |
| Antisocial Personality Disorder | p. 201 |
| Descriptive Studies | |
| Psychoanalytic Views | |
| DSM-III and DSM-III-R | |
| An Attempt at Synthesis | |
| Differential Diagnosis | |
| Comment | |
| Histrionic and Schizotypal Personality Disorders | p. 247 |
| Histrionic Personality Disorder | |
| Origins | |
| DSM-III and DSM-III-R | |
| Unresolved Issues | |
| Schizotypal Personality Disorder | |
| Origins | |
| DSM-III and DSM-III-R | |
| Unresolved Issues | |
| Mixed Forms and Extrinsic Influences on Symptomatology | |
| Mixed Forms | |
| Level of Social Functioning | |
| Sex-Related Differences | |
| Changes in Symptomatology Over the Life Span | |
| Cultural Factors | |
| Psychotherapy | |
| Initial Evaluation and Early Treatment Decisions | p. 275 |
| The Technique of Initial Evaluation | |
| Responding to the First Phone Call | |
| Observing the Patient's Appearance, Behavior, and Manner of Arrival | |
| Collecting the Core Information | |
| Safeguarding the Therapeutic Framework | |
| Assessing Psychological-Mindedness | |
| Sharing Diagnostic Conclusions and Recommending Treatment | |
| Frequent Questions at the End of Evaluation | |
| Should the patient be treated at all? | |
| Should the patient be treated as an outpatient or an inpatient? | |
| Should the patient be put on medication? | |
| Is the patient suitable for psychoanalysis? | |
| What other psychotherapeutic strategies might be indicated? | |
| Psychoanalytic Psychotherapy | p. 309 |
| Synthesizing Two Contrasting Approaches | |
| The Skills, Attitude, and Personality of the Therapist | |
| Beginning the Treatment | |
| The Emergence of Transference and Its Handling | |
| Needs versus Wishes | |
| The Issue of Suicide | |
| The Concept of Holding Environment and Its Technical Consequences | |
| The Beginning of the End | |
| Termination | |
| Coda | |
| Summary, Conclusion, and Recommendations | p. 355 |
| Recapitulating the Important Points | |
| A New Classification of Personality Disorders | |
| The Parable of Two Flower Vases | |
| References | p. 377 |
| Credits | p. 409 |
| Index | p. 411 |
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